E-mail Form E-Waste Solutions

E-Waste Solutions

PLEASE CHECK "BOX" NEXT TO THE ITEMS THAT YOU WISH TO HAVE RECYCLED.

Customer Type:
Name:
Company Name:
Street Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:
E-mail:
PERSONAL COMPUTERS:	PLEASE ENTER THE NUMBER OF ITEMS BELOW
CPU (Desktop / Tower):
Keyboard / Mouse:
Monitor:
Monitor LCD:
Drives (Hard / CD / DVD):
Server:
Cables:
Modems:
Router:
Notebooks or Laptops:
Batteries (Notebooks / Laptops):
OFFICE EQUIPMENT:	PLEASE ENTER THE NUMBER OF ITEMS BELOW
Printers InkJet:
Printers LaserJet:
Copiers Desktop:
Copiers Free Standing:
Fax Machines:
All In Ones:
LCD Projectors:
TV's CRT
TV`s PLASMA
TV`s LCD
Microwaves
PHONES:	PLEASE ENTER THE NUMBER OF ITEMS BELOW
VCR or DVD Player or Burner:
Cell or Office Systems:
Battery Chargers: